Spondyloarthropathy is a group of inflammatory diseases that attack the bones in the spine and the joints of the arms and legs. People with spondyloarthritis often experience low back pain, pain and swelling in joints of the arms and legs. Non-steroidal anti-inflammatory drugs, anti-TNF drugs (TNF blockers), and anti-IL-17 drugs (IL-17 blockers) help reduce pain and swelling in spondyloarthritis.
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I have been suffering from seronegative spondyloarthropathy for the past year. Is it curable?
Query: Hello doctor, I have had seronegative spondyloarthropathy for the past year. I have been taking medicines like Saaz since last month. I am having pain in my spine and pelvic girdle to the femur. I am also having morning stiffness. I have doubts that these medicines will lead to side effects. Is this... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In seronegative spondyloarthropathy, non-steroid anti-inflammatory drugs (NSAIDs) can be prescribed. This drug will help in relieving pain and inflammation. Stiffness and pain are common symptoms of spondyloarthropathy. Kindly mention the content of this drug. I thi... Read Full »
Is Infliximab a safe pregnancy drug?
Query: Hi doctor, I am 26 years old. I am currently working in a hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advis... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. Infliximab is a pregnancy category B drug that is it has not shown till now any birth defects in babies in trials. So, it can be used if required. I would not recommend SI joint (sacroiliac joint) radiofrequency at this stage. I would ... Read Full »
How can arthritis be confirmed?
Query: Hello doctor, Kindly confirm if I am arthritic from the available reports. Read Full »
Answer: Hello, Welcome to icliniq.com. Could you provide me with some of your symptoms? I have gone through your reports (attachment removed to protect patient identity). Your inflammation markers are very high (erythrocyte sedimentation rate and C-reactive protein). So, it does indicate either there is ... Read Full »
How to manage pain and numbness in my hands and feet caused by SPA?
Query: Hi doctor, I am suffering from SPA rheumatism and the doctor has prescribed Salazopyrin, Sulfasalazine for more than 10 years. I am not taking it continuously. Now, these days, I have pain in my hand, wrist, and my feet also have numbness. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reactive protein and ESR and preferably take Naproxin 50... Read Full »
MRI of which body parts will best reveal spondyloarthropathy?
Query: Hello doctor, I am a 31-year-old male, and I was diagnosed with spondyloarthropathy seven years back. I am taking only Sulfasalazine tablets daily. Currently, I do not have any pain or stiffness. My HLA-B27 report is negative. Now, if I do the following MRIs, what chances are there that any abnormal... Read Full »
Answer: Hello, Welcome to icliniq.com. I am unable to find the attachment. It is good to know that you are doing well on Sulfasalazine only. But if you are doing well and have no symptoms with normal blood tests, I will not recommend MRI (magnetic resonance imaging) to be repeated. The MRI is only needed ... Read Full »
Kindly suggest the reason for my back pain after going through my MRI reports.
Query: Hello doctor, I am a 33 year old unmarried male. I have back pain problem (stiffness) for more than three years, and everyone gives the feedback that my posture was not proper while walking. Two years before I consulted a doctor. He suspected ankylosing spondylitis, but HLA-B27 was negative. By seei... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks like spondyloarthropathy and right now no surgery is required. You do routine workup like complete blood picture, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), RA factor (rheumatoid arthritis factor) and anti-CCP antibody (anti-cyclic citrullina... Read Full »
Does my scan report suggest the cause of my low back pain?
Query: Hi doctor, I do not remember any spine trauma. I do have morning stiffness of greater than one hour with will become better with movement. I have this issue for the past seven years. My HLA-B27 is positive. Am I suffering from inflammatory spondyloarthropathy or ankylosing spondylitis? I have attac... Read Full »
Answer: Hi, Welcome to icliniq.com. The SI joints show minimal linear hyperintensity on STIR (short TI inversion recovery) sequence (attachment removed to protect patient identity). It is mild edema and not the usual findings which are seen in inflammatory spondyloarthropathy. Probably, it is in the early s... Read Full »
Can I take anti-TNF agent for knee swelling?
Query: Hi doctor, I started to have neck pain on the left side below my left ear before a month. After nine days, I started to have pain in the left knee and I used a crepe bandage over it to get some relief. But my knee started to have swelling. I consulted a rheumatologist and he told me that I have wat... Read Full »
Answer: Hi, Welcome to icliniq.com. You have these symptoms due to spondyloarthropathy. Spondyloarthropathy is a type of arthritis that involves the spine, large joints like hips, knees, and ankles. The treatment, which you are receiving, is according to the treatment protocol. You have not mentioned what... Read Full »
What are the causes of low back pain and joint pain?
Query: Hi doctor, I am a 45 year old male. I had an accident before 10 years. At that time, my knee x-ray was done and I was reported to have osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my lef... Read Full »
Answer: Hi, Welcome to icliniq.com. Read Full »
Why do I have persistent pain in the right lower back?
Query: Hi doctor, I had an injury in the left SI joint two years ago. Because of it, I am lying, walking and sitting only on my right side. Now left side is fine, but I have developed tingling and burning pain in the right lower back. My MRI, x-ray of spine and SI joints are normal. Blood tests for ankylos... Read Full »
Answer: Hi, Welcome to icliniq.com. You have mentioned injury to your left SI joint (sacroiliac joint) two years ago which is fine right now. But, you have not mentioned the exact nature of the injury and treatment received for it.Also, your main problem right now is pain in the lower back region mainly tow... Read Full »